Individual
ELIZABETH L KYGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
64 HAGER ST, BUFFALO, NY 14208-1327
(716) 886-4377
Mailing address
2875 UNION RD, SUITE 8, CHEEKTOWAGA, NY 14227-1465
(716) 651-0911
(716) 651-9855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
143470
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010097403
UNIVERA
NY
01
—
00010097404
UNIVERA
—
01
—
000508584004
BC/BS
NY
01
—
000508584005
BCBS
—
05
—
00754036
—
NY
01
—
0109801
IHA
NY
01
—
040426002785
FIDELIS
NY
01
—
151096BF
PREFERRED CARE
NY
Enumeration date
11/10/2005
Last updated
07/21/2014
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